Raj Enterprises of Central Florida LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800026753 Issued in FL

Legal business name

RAJ ENTERPRISES OF CENTRAL FLORIDA LLC

Practice address

1410 NE 8TH Ave
Ocala, FL 34470-4250

Phone

(352) 236-4247

Fax

(352) 236-4240

NPI assigned

Jul 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James F Porter

Title

Owner

Phone

(352) 236-4247

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Pinnacle Laboratory Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1861748659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 NE 8TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344704250",
            "telephone_number": "352-236-4247",
            "fax_number": "352-236-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 NE 8TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344704250",
            "telephone_number": "352-236-4247",
            "fax_number": "352-236-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ ENTERPRISES OF CENTRAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-236-4247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800026753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1583979",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008430600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE CROSS BLUE SHIELD",
            "identifier": "L005S",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Surekha H Rai, PHD
• Swaroop Rai, M.D.
• Rainbows Beam Home Care Inc.
• Ann Marie Rainey, M.A., CCC-SLP
• Ruth L. Raison, C.N.P.
• Dantuluri P Raju, M.D.
• Amina Ramaanu-Porter, ARNP
• Yasmin Ramasco, MSN, ARNP, ANP-C
• Shivanie Anjanie Ramdin
• Elita Ramharack

• Clinical Medical Laboratory in Ocala, FL
• Providers in Ocala, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.